骨骼肌肉超音波在晶體性關節炎的臨床應用

Clinical Utility of Musculoskeletal Ultrasound in Crystal-induced Arthritis

沈明忠(Min-Chung Shen) ； 侯宗昀(Tsung-Yun Hou) ； 劉峰誠(Feng-Cheng Liu) ； 陳相成(Hsiang-Cheng Cen) ； 朱士傑(Shi-Jye Chu) ； 郭三元(San-Yuan Kuo) ； 陳政宏(Chen-Hung Chen) ； 張棋楨(Chi-Ching Chang)

《內科學誌》 25卷2期 (2014/04) Pp. 115-121

https://doi.org/10.6314/JIMT.2014.25(2).08

摘要

晶體性關節炎是常見的發炎性關節炎之一，常見的有三種，如尿酸單鈉（monosodium urate）、二羥焦磷酸鈣結晶沈積（calcium pyrophosphate dihydrate crystal deposition）以及鹼性磷酸鈣（Basic calcium phosphate）晶體沉積。診斷有時會出現困難，特別是臨床表現不典型或是侵犯在小關節時。骨骼肌肉超音波是一項重要的輔助檢查，已被認為是風濕免疫科醫師的第二聽診器。每一種晶體性關節炎在超音波上都有其獨特的形態，可供臨床醫師作早期診斷和治療。本文目的乃是探討骨骼肌肉超音波對晶體性關節炎病人的臨床應用和超音波影像形態。

關鍵字

骨骼肌肉超音波（Musculoskeletal ultrasound） ； 晶體性關節炎（Crystal-induced arthritis）

並列摘要

Crystal-induced arthritis (CIA) is one of the common inflammatory arthritis. There are three main types of crystals involved: monosodium urate, calcium pyrophosphate dihydrate and basic calcium phosphate. The diagnosis is sometimes difficulty to do, particularly in atypical clinical manifestation or when small joints are involved. The musculoskeletal ultrasound is an important auxiliary examination and has been considered as a Rheumatologist's stethoscope. Each type of CIA has several unique ultrasonographic features, allowing the clinicians to early diagnosis and treatment. The aim of this paper is to describe the clinical utility of the musculoskeletal ultrasound and ultrasonographic findings in patients with CIA.